EXTERNAL FIXATION OF METACARPAL AND PHALANGAL FRACTURES
<p align="LEFT"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;">Background. </span></span><em><span style="font-family: GaramondItcTEE-L...
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2001-11-01
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| Series: | Zdravniški Vestnik |
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| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/2595 |
| Summary: | <p align="LEFT"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;">Background. </span></span><em><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;">In past three years we have used small</span></span></em></p><em><em></em></em><p align="LEFT">external fixator in the treatment of: 18 closed fractures of metacarpal</p><em><em></em></em><p align="LEFT">bones, 15 phalangeal fractures, four dislocated fractures</p><em><em></em></em><p align="LEFT">of MCP and five of PIP joint, ten arthrodesis, five replantations/</p><em><em></em></em><p align="LEFT">revascularisations, two pathological fractures, and in</p><em><em></em></em><p align="LEFT">few post-traumatic infection of bones and joints.</p><em></em><p align="LEFT"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;"><br /></span></span></p><p align="LEFT"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;">Results. </span></span><em><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;">Results were graded as excellent (completely normal</span></span></em></p><p align="LEFT"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;">function), very good (15</span></span><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;">° </span></span><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;">deficit of total ROM), good (30</span></span><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;">° </span></span><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;">deficit</span></span></p><em><em></em></em><p align="LEFT">of total ROM; can flex the fingers to the palm), and poor.</p><em><em></em></em><p align="LEFT">Excellent result was obtained in the treatment of all 18 metacarpal</p><em><em></em></em><p align="LEFT">fractures. The final results in the treatment of 12 closed</p><em><em></em></em><p align="LEFT">fragmentated fractures of phalanges were as follows: excellent</p><em><em></em></em><p align="LEFT">3, very good 2, good 2 and five poor results (three patients</p><em><em></em></em><p align="LEFT">in this group have fallen on their hands causing refracture</p><em><em></em></em><p align="LEFT">and reoperation). Three of four fractures of MCP joint and</p><em><em></em></em><p align="LEFT">four of five fractures involving PIP joint have good mobility.</p><em><em></em></em><p align="LEFT">In eight of ten patients arthrodeses are stable and without</p><em><em></em></em><p align="LEFT">pain. In two cases pathological fractures were first stabilized</p><em><em></em></em><p align="LEFT">and than the tumor was evacuated and grafted with minimal</p><em><em></em></em><p align="LEFT">dissection; booth have good results.</p><em></em><p align="LEFT"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;"><br /></span></span></p><p align="LEFT"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;"><span style="font-family: GaramondItcTEE-Ligh; font-size: xx-small;">Conclusion. </span></span><em><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;"><span style="font-family: GaramondItcTEE-LighItal; font-size: xx-small;">Author suggests that, in selected cases, with application</span></span></em></p><em><em></em></em><p align="LEFT">of small external fixator reasonable good results can be</p><em><em></em></em><p>obtained.</p><em></em> |
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| ISSN: | 1318-0347 1581-0224 |